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Priyawat and Kim Dental Services

Oral and Maxillofacial Surgery Clinic/Center in Chino Hills, CA · enumerated 2021 · authorized official Carrick Bannatz, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801461561

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Registry record

Entity type Organization (Type 2)
Legal business name Priyawat and Kim Dental Services
Other name <Unavail>
Practice address 15911 Pomona Rincon Rd Ste 120, Chino Hills, CA, 91709
Phone (909) 497-9449
Fax (844) 600-4099
Enumeration date May 25, 2021
Last updated in NPPES Aug 22, 2023

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Secondary
261QS0112X Oral and Maxillofacial Surgery Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Carrick Bannatz
Title Office Manager
Phone (909) 497-9449

Other identifiers

Identifier Type State Issuer
65123 Other CA DENTAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Priyawat and Kim Dental Services?
NPPES lists Carrick Bannatz (Office Manager) as the authorized official for this organization.
What is the NPI number for Priyawat and Kim Dental Services?
The NPI for Priyawat and Kim Dental Services is 1801461561, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-22.